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These alterations suggest impaired mitochondrial bioenergetics, consistent with previous reports showing reduced mitochondrial activity and altered lipid metabolism in lipedema adipose tissue [57, 58]

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[5] Animal reproduction studies have not demonstrated fetal harm with levocarnitine

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One, the American Cavalier King Charles Spaniel Club (ACKCSC), is an official "parent club" for the breed, in the AKC